Central Peninsula Hospital, Moda Health developing alternate payment model: 5 things to know

Soldotna, Alaska-based Central Peninsula Hospital and Moda Health, a health insurance company based in Portland, Ore., are developing a plan for coordinated care that is aimed at changing the way care is provided and paid for, according to a Peninsula Clarion report.

Here are five things to know about the proposal.

1. Under the proposal, a coordinated care organization would provide global healthcare payments first for Kenai Peninsula, Alaska's Medicaid population and later for other insured, according to the report.

2. According to the report, the coordinated care organization would use its budget — supplied by Alaska Medicaid and managed by Moda — to pay its provider members a set amount for keeping the Medicaid population healthy.

3. Providers would not gain additional compensation from a readmission, according to the Peninsula Clarion.

4. Central Peninsula Hospital Government and External Affairs Manager Bruce Richards told the Peninsula Clarion receiving one payment instead of a per-procedure payment would allow physicians to do things that may help patients but would not be considered compensable care under traditional Medicaid.

5. But right now, the CCO program is still speculative, according to the report. Mr. Richards told the Peninsula Clarion a lot of data collection and analysis must be done before the concept could materialize. So far, CPH has not approached other area health providers about joining the CCO, and no local physicians, beyond those employed by the hospital, have been asked to commit to the plan, CPH CEO Rick Davis said, according to the report.

 

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